Covington v. American Chambers Life Insurance

779 N.E.2d 833, 150 Ohio App. 3d 119
CourtOhio Court of Appeals
DecidedNovember 14, 2002
DocketNo. 01AP-1338 (REGULAR CALENDAR)
StatusPublished
Cited by5 cases

This text of 779 N.E.2d 833 (Covington v. American Chambers Life Insurance) is published on Counsel Stack Legal Research, covering Ohio Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Covington v. American Chambers Life Insurance, 779 N.E.2d 833, 150 Ohio App. 3d 119 (Ohio Ct. App. 2002).

Opinion

Lazarus, Judge.

{¶ 1} Appellant, Protective Life Insurance Company (“Protective”), appeals from the October 25, 2001 journal entry and order denying Protective’s motion for an order directing plaintiff-appellee, J. Lee Covington II, Superintendent of Insurance, Ohio Department of Insurance (“Superintendent”), to return assets of Protective. The Superintendent has cross-appealed from the portion of the same entry granting Protective’s motion to compel arbitration of the remaining claims between American Chambers Life Insurance Company (“American Chambers”) and Protective. For the reasons that follow, we reverse and remand.

{¶ 2} The following facts are taken from the affidavit of Wayne E. Stuenkel, Senior Vice President and Chief Actuary for Protective, the documents attached to his affidavit, and the affidavit of Joseph G. Archdeacon, Deputy Liquidator of American Chambers.

{¶ 3} Protective was established in 1907, and provides a wide array of insurance products throughout the United States. In approximately 1988, American Chambers entered into a contract with Protective allowing American Chambers to market, administer, underwrite, and reinsure Protective’s policies. In exchange, Protective received fee income.

{¶ 4} The agreement underwent a series of amendments and provided for the arbitration of “[a]ll disputes or differences between Protective and American Chambers which arise under or are related to this Agreement.” (Article 21 of the Agreement.)

{¶ 5} In 1996, Protective agreed to advance $3 million in working capital to American Chambers and to assume the reinsurance risk for the first $6.25 million in quarterly premiums for the Vantage and Flex II Programs. In return, American Chambers agreed to pay Protective, on a discounted basis, the net profit each quarter until the balance equaled $3 million (later increased to $4 million after Protective advanced another $1 million to American Chambers). Under the agreement, American Chambers was required to pay Protective the net profit on the first $6.25 million of quarterly premiums with respect to the Vantage and Flex II Programs. In addition, when American Chambers incurred a loss that was reimbursed by Protective, the balance was decreased by the discounted loss amount. Pursuant to the agreement, American Chambers served *122 as third-party administrator and as reinsurer, to the extent that the earned premiums subject to the agreement exceeded $6.25 million per calendar quarter.

{¶ 6} Under the agreement, American Chambers administered the programs and paid all of the claims and expenses. American Chambers was granted the authority to sweep the premiums from Protective’s lockbox and deposit them in the American Chambers’ Premium Trust Account to pay claims. Some of the premiums were sent directly to American Chambers and then deposited directly into its Premium Trust Account. Ordinarily, American Chambers would then transfer funds to the claims account to pay the claims. The agreement specifically provided that “all such premiums shall be made payable to and remain the property of Protective.” (Article 8[A][i] of the Agreement.) American Chambers was permitted to draw against the claims account solely to pay claims under the policies.

{¶ 7} Beginning in March 1999, American Chambers stopped making monthly settlements with Protective in which American Chambers was required to pay Protective the profit on the policies less certain expenses and fees. Protective made repeated requests for information on the financial status of American Chambers. American Chambers stopped paying claims in a timely manner and developed a backlog of unpaid claims. In February and early March 2000, American Chambers stopped paying expenses.

{¶ 8} In early March 2000, American Chambers swept the Protective lockbox and removed $2,021,314.09 in premiums. In addition, American Chambers received $185,073.28 in premiums directly, and failed to deposit them into Protective’s claims account.

{¶ 9} On March 13, 2000, the Franklin County Court of Common Pleas issued an Order of Rehabilitation to American Chambers. On May 8, 2001, the court found American Chambers to be insolvent and appointed the Superintendent as Liquidator of American Chambers.

{¶ 10} Pursuant to his statutory authority under R.C. 3903.13 and 3903.18, the Superintendent took possession of the assets of American Chambers.

{¶ 11} On April 24, 2001, Protective filed a motion requesting an order directing the liquidator to return its assets and to compel arbitration of the remaining claims between Protective and American Chambers. The motion was fully briefed, and the trial court heard oral argument.

{¶ 12} On September 25, 2001, the trial court denied the portion of the motion requesting the return of funds but granted the motion to compel arbitration of the remaining claims. The trial court found that the Superintendent was entitled to keep the $2 million plus the amount of undeposited premiums that it was in possession of at the time the court ordered American Chambers into rehabilita *123 tion for two reasons. First, the trial court found that there was no method of earmarking Protective’s money. Second, the trial court found that the type of arrangement Protective had with American Chambers whereby Protective tunneled its policies and claims through another insurance company lent itself to abuse of the statutory scheme for liquidation that is designed to protect insureds.

{¶ 13} This appeal followed, with Protective assigning as error the following:

{¶ 14} “The court below erred by (1) refusing to enforce Protective Life Insurance Company’s (‘Protective’) contract with American Chambers Life Insurance Company (‘American Chambers’) on the grounds that the use of a third-party administrator was contrary to public policy; (2) ruling that ‘American Chambers owned money that it swept from Protective’s account’ because ‘there was not a method of earmarking Protective’s money’; and (3) refusing to order the immediate return of Protective’s funds.”
{¶ 15} The Superintendent cross-appealed, assigning as error the following:
{¶ 16} “The trial court erred in granting Protective Life Insurance Company’s Motion to Compel Arbitration.”

{¶ 17} Protective’s position is straightforward. Protective argues that the premiums swept from the lockbox are Protective’s property and not part of the liquidation estate. Protective contends that American Chambers was merely a third-party administrator, acting as Protective’s agent for purposes of collecting premiums and paying claims and expenses on Protective’s policies. Protective argues that it was error for the trial court to find that American Chambers bore all of the risk on the policies when, in fact, American Chambers bore none of the risk, and Protective bore the risk on the policies. Thus, Protective claims that it was error for the trial court to void the ownership provision of the agreement on public-policy grounds.

{¶ 18} Protective further argues that, pursuant to the agreement between American Chambers and Protective, the contents of the lockbox and the premiums paid directly to American Chambers were, at all times, the property of Protective, and the Superintendent is obligated to return that property to its rightful owner.

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Cite This Page — Counsel Stack

Bluebook (online)
779 N.E.2d 833, 150 Ohio App. 3d 119, Counsel Stack Legal Research, https://law.counselstack.com/opinion/covington-v-american-chambers-life-insurance-ohioctapp-2002.